BRIAN S WISMER

DEERFIELD, IL
NPI1598896011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000605)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- BRIAN S WISMER ATC, KT
770 CASTLEWOOD LN
DEERFIELD, IL 60015-3971
Phone number: 847-236-9499
Mailing Address
-- BRIAN S WISMER ATC, KT
770 CASTLEWOOD LN
DEERFIELD, IL 60015-3971
Phone number: 847-236-9499
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